Oconnors Family Day Care Ii

Regulation: 3280.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: Child #1's file did not contain the name, address and telephone number of the child's physician or source of medical care.

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

Regulation: 3280.131(b)(2)/3280.182(1)

Description: Toddler/preschool: updated health report every 12 months/Initial and subsequent health assessments

Noncompliance Area: Child #2's, a preschool age child(See LIS Code Sheet), most recent health assessment is dated 7/29/25 which is more than 12 months ago.

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record must contain initial and subsequent health reports.

Regulation: 3280.66(a)

Description: Locked or inaccessible - in original container

Noncompliance Area: In the unlocked kitchen cabinet under the sink was Purell hand sanitizer that stated keep out of reach of children accessible to children.

Correction Required: Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be kept in a locked area or in an area inaccessible to children, and shall be stored away from food, food preparation areas and child care spaces.

Regulation: 3280.77(a)

Description: No peeling paint or plaster

Noncompliance Area: Along the pathway to the back outside play space was peeling paint on the cement barrier.

Correction Required: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Regulation: 3280.113(a)

Description: Supervised at all times

Noncompliance Area: At approximately 1:15pm staff #1 was observed to be in the kitchen leaving 2 preschoolers and 1 older toddler in the front room alone napping.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises.

Regulation: 3280.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: At approximately 1:15pm staff #1 was observed to be in the kitchen leaving 2 preschoolers and 1 older toddler in the front room alone napping.

Correction Required: Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Regulation: 3280.124(b)(4)/3280.182(3)

Description: Written consent/Consent for emergency medical care required prior to admission

Noncompliance Area: Child #2's file did not contain written consent signed by a parent for emergency medical care.

Correction Required: Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Regulation: 3280.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: Child #1's file did not contain the child's health insurance policy number for the child under a family policy or Medical Assistance benefits.

Correction Required: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Regulation: 3280.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: Child #1's file did not contain 3 addressed of individuals designated by the parent to whom the child may be released.

Correction Required: Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

Regulation: 3280.134(e)

Description: Toothbrush bristles up

Noncompliance Area: The toothbrushes in the bathroom were stored with caps on them.

Correction Required: Toothbrushes shall be stored with the bristles up and exposed to circulating air.

Regulation: 3280.182(5)

Description: Consent for administration of minor first-aid required prior to admission

Noncompliance Area: Child #2's file did not contain signed parental consent for administration of minor first-aid.

Correction Required: A child's record must contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Regulation: 3280.52(c)

Description: Mixed age levels

Noncompliance Area: At approximately 1:15pm staff #1 was observed to be in the kitchen leaving 2 preschoolers and 1 older toddler in the front room alone napping.

Correction Required: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements at §3280.52(b).

Regulation: 3280.102(a)

Description: Clean and good repair

Noncompliance Area: In the right back room, there was a cracked plastic bin that contained wooden blocks that was not in good repair and could be a pinching hazard.

Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Regulation: 3280.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: Child #1 file was missing two individuals phone numbers for individuals designated by the parent to whom the child may be released.

Correction Required: Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

Regulation: 3280.131(a)/3280.182(1)

Description: Health Information/Initial and subsequent health assessments

Noncompliance Area: Child #3 initial health assessment was dated 9/20/21 which was more than 60 days after the child's enrollment(See LIS Code Sheet).

Correction Required: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility. A child's record must contain initial and subsequent health reports.

Regulation: 3280.131(b)(2)/3280.182(1)

Description: Toddler/preschool: updated health report every 12 months/Initial and subsequent health assessments

Noncompliance Area: Child #3, a preschool age child(See LIS Code Sheet), two most recent health assessments were dated 10/3/22 and 3/20/24 which are more than 12 months apart.

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record must contain initial and subsequent health reports.

Regulation: 3280.131(d)(5)/3280.131(e)(3)

Description: Immunization record/Dismissal policy

Noncompliance Area: The immunization record on file for Child #1, a preschool age child(See LIS Code Sheet), contained 2 of 4 HIB vaccines recommended by the ACIP for a child this age, 2 of 4 Pneumococcal vaccines recommended by the ACIP for a child this age, and 0 of 2 Hepatitis A vaccines recommended by the ACIP for a child this age. The immunization record on file for Child #2, a preschool age child(See LIS Code Sheet), 3 of 4 Pneumococcal vaccines recommended by the ACIP for a child this age. The immunization record on file for Child #3, a preschool age child, includes 2 of 3 Hepatitis B vaccines recommended by the ACIP for a child this age, 2 of 4 DTAP vaccines recommended by the ACIP for a child this age; 1 of 4 HIB vaccines recommended by the ACIP for a child this age, 1 of 4 Pneumococcal vaccines recommended by the ACIP for a child this age, 2 of 3 Polio vaccines recommended by the ACIP for a child this age, and 1 of 2 Hepatitis A vaccines recommended by the ACIP for a child this age.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings).

Regulation: 3280.151(c)(1)/3280.192(3)

Description: Physical examination/Health assessment, TB test

Noncompliance Area: Staff #1's two most recent health assessments are dated 1/11/22 and 7/18/24 which is more than 24 months apart.

Correction Required: An adult health assessment must include a physical examination. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3280.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: In the front room near the bookcase a protective outlet cover was missing.

Correction Required: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

Regulation: 3280.66(a)

Description: Locked or inaccessible - in original container

Noncompliance Area: In the left back room, there were small personal hand sanitizers in a basket on a low white shelf accessible to children.

Correction Required: Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be kept in a locked area or in an area inaccessible to children, and shall be stored away from food, food preparation areas and child care spaces.

Regulation: 3280.72(d)

Description: Above ground window opening restricted to 6"

Noncompliance Area: The window at the top of the stairs at the entrance to the second floor did not have the locks engaged, therefore the window could open more than 6 inches.

Correction Required: Windows or doors above the ground floor that open directly to the outdoors and are accessible to children shall be constructed, modified or adapted to limit the opening to 6 or fewer inches.

Regulation: 3280.95(a)/3280.95(b)

Description: FIRE DETECTION/Staff responsibility

Noncompliance Area: The fire alarm testing log had test dates of 11/26/23 and 12/28/23 which are more than 30 days apart.

Correction Required: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)). The primary staff person or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met.

Regulation: 3280.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The emergency contact form on file for Child #3 does not include the address for the child's pediatrician/source for medical care.

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

Regulation: 3280.131(a)/3280.182(1)

Description: Health Information/Initial and subsequent health assessments

Noncompliance Area: The initial health assessment on file for Child #1, with an enrollment date of 12/15/22, is dated 8/26/23, more than 60 days after enrollment.

Correction Required: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility. A child's record must contain initial and subsequent health reports.

Regulation: 3280.131(b)(2)/3280.182(1)

Description: Toddler/preschool: updated health report every 12 months/Initial and subsequent health assessments

Noncompliance Area: The two most recent health assessments on file for Child #2, who is a preschool age child, are dated 9/28/21 and 6/22/23, more than 1 year apart.

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record must contain initial and subsequent health reports.

Regulation: 3280.131(d)(5)/3280.131(e)(1)

Description: Immunization record/Exemption documentation from parent/guardian

Noncompliance Area: The immunization record on file for Child #1, who is 2 years old, does not include a current influenza vaccination, recommended annually by the ACIP for a child this age. The most recent influenza vaccination on file for Child #2, who is 3 years old, is dated 1/28/21, more than 1 year ago, and is recommended annually by the ACIP. The most recent influenza vaccination on file for Child #4, who is 3 years old, is dated 2/9/21, more than 1 year ago, and is recommended annually by the ACIP.

Correction Required: ·Child #1, #2, and #4 must be dismissed from care by close of business on 8/29/23 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter. A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

Regulation: 3280.14/3280.21

Description: Pertinent Laws & Regulations/Communication with Parents

Noncompliance Area: The Health and Safety professional development training update on file for Staff person #1 and #3 is dated 6/23/23, after the deadline of 12/30/22, as per Announcement C-22-06. The Health and Safety professional development training update on file for Staff person #2 is dated 7/28/23, after the deadline of 12/30/22, as per Announcement C-22-06. The Health and Safety professional development training update on file for Staff person #4 and #5 is dated 6/26/23, after the deadline of 12/30/22, as per Announcement C-22-06.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. The operator shall establish oral or written communication in the language or mode of communication which is understandable to the parent.

Regulation: 3280.151(a)/3280.192(3)

Description: 12 months prior to service and every 24 months thereafter/Health assessment, TB test

Noncompliance Area: The 2 most recent health assessments on file for Staff person #2 were dated 5/2/21 and 7/28/23, more than 24 months apart.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3280.31(f)

Description: Age and training

Noncompliance Area: Staff person #1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Get Started with Center-based Care: Building Blocks for Quality.

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person #1 will have until 10/12/23 to complete the required training. Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility.

Regulation: 3280.32(a)/3280.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The NSOR certificate on file for Staff person #1 is dated 8/5/20, after the required date of 7/1/20, as per Announcement C-19-02.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

Regulation: 3280.33(a)/3280.192(2)(ii)

Description: Each staff person meets quals/Exp, educ., training prior to facility

Noncompliance Area: The file for Staff person #6, classified as a Primary staff person, does not include a high school diploma or a general educational development certificate to be combined with her 2 years of verified experience with children.

Correction Required: A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3280.95(a)/3280.95(b)

Description: FIRE DETECTION/Staff responsibility

Noncompliance Area: The most recent 30-day test for the fire detection system is dated 7/6/23, more than 30 days ago.

Correction Required: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)). The primary staff person or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met.

Regulation: 3280.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The file for Child #1 contained an emergency contact form that did not include the child's health insurance provider.

Correction Required: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Regulation: 3280.76

Description: Building Surfaces

Noncompliance Area: An exposed, upwardly facing bolt was observed at the base of the toilet used by children in care. Contact with said bolt could cause puncture and/or laceration injuries.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.